Physician Compliance Auditor II - Remote Texas Residents Only
Location: Austin, Texas US
Requisition Number: 19017229
Currently, there is only one level of Physician Compliance Auditor. Even though there are some more advanced and knowledgeable Physician Compliance Auditors, they all have the same designation. A great dissatisfier repeatedly in the People Survey has been the lack of opportunities for advancement in Compliance. Risk Management and Revenue Cycle Management both have several levels of coders and auditors. This would help give Physician Compliance Auditors an additional position to aspire to.
ESSENTIAL FUNCTIONS OF THE ROLE
The Physician Compliance Auditor 2 performs annual chart audits, formulates recommendations based upon findings, implements annual coding reviews and ensures that compliance issues and areas of risk are addressed. The PCA 2 develops curriculum to be used in orienting and educating providers and staff in the specialty clinics to medical record documentation guidelines, standards and to diagnostic and procedural coding conventions and methodologies. The PCA 2 assists in specialty coding educational sessions with Revenue Cycle Management (RCM) and Risk Based Coding, and consults for all physicians, advance practice providers, company administrators and physician practice staff. In addition, this role prepares reports for the compliance committee, serves as a coding and documentation resource to Physician Coding Auditors I and RCM on specialty cardiology, neurology and orthopedics coding, and cross-trains other Physician Coding Auditors in order to provide more depth and flexibility to the department.
KEY SUCCESS FACTORS
The ideal candidate must have knowledge of CPT, ICD-10 and HCPCS and have the ability to research topics regarding compliance and coding and clearly explain compliance concerns and resolutions with the members of the organization. The ideal candidate must be proficient in Word, Excel, and PowerPoint and have four years of auditing experience.
- Specialty/Department/Practice - Compliance
- Shift/Schedule - Full Time
- Benefits - Our competitive benefits package includes Immediate eligibility for health and welfare benefits, 401(k) savings plan with dollar-for-dollar match up to 5%, Tuition Reimbursement, PTO accrual beginning Day 1. Please note, benefits may vary based upon position type and/or level.
- EDUCATION: Bachelors or equivalent experience is required
- EXPERIENCE: 5+ Years of experience is required
- CERTIFCATION/LICENSE/REGISTRATION: Must have ONE of the following:
Certified Coding Specialist Physician Based (CCS-P) or Certified Professional Coder (CPC) or Certified Professional Coder Physician (CPC-P) certification is required
Community / Marketing Title: Physician Compliance Auditor II - Remote Texas Residents Only
Location_formattedLocationLong: Austin, Texas US
CountryEEOText_Description: We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. To view the most recent EEO is the Law Poster, click here.